Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $77.62	Professional		$25.12	$28.18	$77.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Professional		$32.36	$32.36	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $123.03	Professional		$40.74	$89.13	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $57.54	Professional		$20.42	$30.90	$57.54